Diagnosis exam Flashcards

1
Q

Floating - tense/tight

A

Exterior cold, BI SYNDROME due to wind, cold

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2
Q

Deep moderate

A

Yand deficiency with water damp retention

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3
Q

Floating moderate

A

wind attacking, disharmony of ying wei

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4
Q

FLoating rapid

A

wind heat

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5
Q

Floating slippery

A

Exterior syndome, wind phlegm

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6
Q

Deep slow

A

interior cold

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7
Q

Deep taught

A

Liver qi stagnation, fluid water retention

Yellow red and dry tounge

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8
Q

deep choppy

A

Blood stasis due to cold coagulation by yang deficiency

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9
Q

favourable and unfavourable

A

Means if the pulse matches the signs then it is favourable pulse,

Unfavourable would be is the pulse does not match the signs

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10
Q

The significance of pulse examination

A
  • To recognize the exterior and interior of disease
  • To judge the deficiency and excess
  • To ascertain nature of disease
  • To identify cause of disease
  • To inspect the disease mechanism
  • To predict the prognosis
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11
Q

Red face

A

Floating yang

Deficient heat because of the deficiency of Yin

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12
Q

Fluid retention tongue

A

Coating : White , thin and slippery
Body : Corpulent,

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13
Q

Cold and Dampness tongue

A

Coating: Yellow, greasy, thick
Body: Pale, corpulent and teeth marks

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14
Q

if patients have more cold then damp then their coating will be

A

Slippery

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15
Q

if patients have more Damp then cold then their coating will be

A

Greasy

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16
Q

Fish smell phlegm

A

Cold SYNDROME because of HEAT

17
Q

Lower discharge fishy

A

Dampness

18
Q

SIGNIFICANCE OF THE INSPECTION OF THE TONGUE

A

the sufficiency or
deficiency of genuine Qi and viscera; observing the tongue coating to
judge the nature of evil and the location of disease.
* 2) Judging whether the vital-qi is sufficient or deficient. The
exuberance or decline of visceral qi and blood can be shown in tongue.
* 3) Differentiating the location of a disease. In exogenous disease, the
thick or thin of the coating can reflect the deep or shallow of disease
location.
* 4) Differentiating the nature of pathogenic factors. Evils of different
natures will make different changes in tongue.
* 5) Estimating the prognosis of a disease. The changes of tongue usually
follow the changes of genuine qi and evils, and disease location. We can
infer the tendency of disease by observing tongue, especially in
exogenous febrile diseases.

19
Q

Normal tongue

A

Tongue body: light red
(pink), bright, with moisture
and lustre, a suitable size,
and having softness and
flexibility.
Tongue coating: thin, white,
neither dry nor greasy or
slippery.
Normal tongue is usually
described as ‘pink tongue
with thin white coating

Pink tongue with a thin white coating

20
Q

Age : old person toung

A

Tongue body of an elderly person
may appear cracked and papillae
atrophied due to deficiency of qi
and blood

21
Q

Age : child tounge

A

Child’s tongue is lighter, tender,
and without or with less tongue
coating

22
Q

Tongue Vitality

A
  • Flourish—light red tongue body with energetic movement and enough fluid of it.
    It suggests the normal stomach qi.
23
Q

B: normal sublingual veins

A

Normally the veins are appropriately raised and slender with a
light purple colour, they are not convoluted, do not have
branches nor show static spots. The changes of the sublingual
veins reflect the flowing conditions of the qi and blood

24
Q

Auscultation of Voices

A
  • The variations of the patient’s voice are associated with the state of his
    vital-qi and the nature of pathogenic factors. Generally speaking, if the
    patient is talkative and restless with loud voice, his disease pertains to
    excess syndrome, heat syndrome and exogenous diseases or syndromes.
    If he likes to keep silent or speak little with feeble voice, his disease
    pertains to deficiency syndrome, cold syndrome or internal injury.
25
Q
  • Hoarseness—
A

invasion of wind-cold, or the combined invasion of wind-heat and
wind-cold.

26
Q

Chronic aphonia

A

prolonged diseases of lung in which condition lung yin is
insufficient and deficient fire scorches the metal and injures the lung, the lung could
not produce sound. ( broken bell does not sound)

27
Q

Wheezing—the breath is rapid like asthma with loud sound as if phlegm in throat.

A

It is seen in early stage of exogenous evil invasion. The evil retains in the interior of the
lung in addition of the hiding fluid-retention. When wind-cold attacks the body, the evil
makes the qi obstructed.

28
Q

Auscultation of cough
* Deficient type

A
  • Nocturnal cough—kidney yin deficiency
    • Dawn cough—spleen deficiency or cold-dampness in large
      intestine
    • Low and feeble sound of cough with rapid breath—lung qi
      deficiency
  • Children’s cough:
    • Whooping cough or hundred-day cough—wind evil in combination
      with the hiding phlegm obstructing the air tract
29
Q
  • Fishy smell menstruation corresponds to
A

A cold pattern

30
Q
  • Foul order menstruation corresponds
A

to a heat pattern

31
Q
  • Yellow, thick, and foul smelling leucorrhoea corresponds to
A

Damp heat

32
Q

White, thin, and fishy smelling leucorrhoea corresponds to

A

damp-cold

33
Q

Chief
complaint

A

The chief complaint or
concern is the chief
symptom of the illness.
According to it, the
practitioner can
estimate the category
of the disease or illness
and the severity of the
condition.

34
Q

Sign
Symptom
Syndrome
Syndrome differentiation
DIsease

A

SIGN is objective phenomenon that deviates from the normal physiological range after
disorder occurs. It is visible and can be felt, such as rash, bruise, and swelling.  SYMPTOM is subjective occurrence of phenomenon when there is disorder. It cannot besensed by touching or looking. It is closer to feeling which can be only recognised by questions of practitioner.  SYNDROME is pathological generalisation of a disease in its certain stage. It is summaris
ation of environment, causes, pathological location, the condition of vital qi, pathogenic f
actors and constitution of patient and so on.  SYNDROME DIFFERENTIATION is analysing and sorting out clinical data of the patients collected on a wide scale so as to determine the cause, the location and the nature of pathogenic changes, to weight the degree of seriousness of the disease and the state of thevital qi in conflict with pathogenic factors and to get hold of the nature of the disease andits internal relations.  DISEASE is the generalisation of the distinct features of a disorder in the whole process
and the specific law of pathologic

35
Q
A